ORDER BLANK For Klenda’S Custom Saddlery Patterns

ORDER BLANK CUSTOMER Klenda’s Custom Saddlery Name ______P.O. Box 2166, Meeker, CO 81641 Address______Phone (970) 878-5382 State/Country/Provence______Phone Number______

Tapaderos Date______Office Use Payment Rec.______Date shipped______Pattern No. Price Quantity Ordered Total Cost #7203P $8.50 ______$______#8204K $8.50 ______$______#7204P $8.50 ______$______#84094 $8.50 ______$______#7604M $8.50 ______$______#0805B $8.50 ______$______#7104 $8.50 ______$______#8605 $8.50 ______$______#5288 $8.50 ______$______

Chaps & Chinks #33 $17.50 ______$______#34 $17.50 ______$______#26 $17.50 ______$______#29 $17.50 ______$______#6503 $17.50 ______$______#44 $17.50 ______$______

Total ______$______Colorado Residents, add 2.9% sales tax $______Shipping & Handling $______Total $______

Shipping: 0-$24.00 order $4.00, $24-$45.00 order $7.00, $45-$65.00 order $10.00, $65-$90.00 order $12.50, $90.00 and above order $14.50 . Payment options include Visa, MasterCard and Discover cards. Order Blank Customer Klenda’s Custom Saddles Name______P.O. Box 2166 Address______Meeker, Colorado 81641 State/Country/Province______Phone (970) 878 5382 Phone Number ______

Chaps Date______Office Use-Payment Rec._____ Date Shipped______

Pattern No. Price Quantity Ordered Total Cost

#55 $17.50 ______$______

#69 $12.50 ______$______

Saddle Bags

#9408 $37.50 ______$______(This is for 6 saddle bag and two carving patterns)

Total ______$______

Colorado Residents add 2.9% sales tax $______

Shipping and Handling $______

Total $______

Shipping cost for total order including tapaderos and other chaps or chinks:

0 to $24.00 $4.00 $24.00 to $45.00 $7.00 $45.00 to $65.00 $10.00 $65.00 to $90.00 $12.50 $90.00 and above $14.50